Individual provider Active NPI

Scott A Glaser, O.D.

  • Optometrist
  • Hutchinson, MN
National Provider Identifier
1487644969
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2775 Issued in MN
Practice address
225 Main St S
Hutchinson, MN 55350-2508
Phone
(320) 587-2593
Fax
(320) 587-5852
NPI assigned
Oct 25, 2005
Last updated
Jun 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2775 MN Primary

Addresses

Primary practice location

225 Main St S
Hutchinson, MN 55350-2508

Mailing address

785 Roberts St SW
Hutchinson, MN 55350-2701
Phone (320) 587-7392

Other identifiers 1

IdentifierTypeStateIssuer
692690800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000014 MN Practitioner - Optometry 6709878317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Eye Specialists, LLCGroup PAC ID 9032010251, 13 clinicians

Practice addresses (Care Compare)

1201 Greeley Ave N
Glencoe, MN 55336-2135
Phone (320) 864-2020

Merit-based Incentive Payment System (MIPS)

Final score
86.97 of 100Reported as group
Quality
84.94
Improvement activities
40
Cost
76.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2775MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Eye Specialists LLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Southwest Eye Care Inc Optometrist CurrentSince Aug 1, 2014 Accepting new patients
Regional Eye Specialists LLC CurrentSince Mar 1, 2024 Accepting new patients
Southwest Eye Care Optometrist Past Accepting new patients

Locations

1200 Chaska Creek Way
Ste 110
Chaska, MN 55318
Phone (320) 587-6308

1201 Greeley Ave N
Glencoe, MN 55336
Phone (320) 864-2020

1201 Greeley Ave N
#3
Glencoe, MN 55336
Phone (320) 864-2020

1201 Greeley Ave N
Ste 3
Glencoe, MN 55336
Phone (320) 864-2020

1455 Montreal St SE
Hutchinson, MN 55350
Phone (320) 587-6305

225 Main St S
Hutchinson, MN 55350
Phone (320) 587-2585

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1487644969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 ROBERTS ST SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502701",
            "telephone_number": "320-587-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAIN ST S",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502508",
            "telephone_number": "320-587-2593",
            "fax_number": "320-587-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692690800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, MN

Sources for this page

Verify at the official NPI Registry.